Current scenario of suppurative head and neck infections in patients of tertiary care centre in COVID era
DOI:
https://doi.org/10.18203/issn.2454-5929.ijohns20220797Keywords:
Suppurative, Infections, COVID, Odontogenic, Pseudomonas, AntibioticsAbstract
Background: In the COVID era, when self treatment and social media treatment gained popularity, diagnosis of suppurative infections was delayed and rampant misuse of antibiotics significantly increased. Hence this study is necessary to enlighten the current trend of organisms causing suppurative head and neck infections and their presentation.
Methods: Prospective observational study in 110 patients with suppurative head and neck infections who came to Department of Otorhinolaryngology and Head And Neck Surgery of NSCB Medical College, Jabalpur within a period of 18 months ie from March 2020 to August 2021.After detailed clinical examination, under strict aseptic precautions, sample was collected and sent for investigations.
Results: Of 110 patients, 75 were male and 35 were female, maximum in their fourth to fifth decade of life. Diabetes the most common risk factor. The commonest symptom of presentation was swelling, being maximum in submandibular area. Odontogenic the most common etiology. Submental and submandibular space infections presenting as Ludwig’s Angina is the commonest space infection. Prior antibiotic history before visit to our hospital seen in 61.8%, still only 22.8% were sterile.61.8% showed bacterial growth,10.9% fungal and 4.5% tubercular. Psuedomonas aeruginosa was most commonly isolated with site predilection to oral cavity followed by E. coli.
Conclusions: Public education about head and neck infections, oral hygiene, non-communicable diseases should be implemented as step of primordial prevention. Culture specific antibiotic therapy for the correct amount of time should be mainstay of treatment. Prescription by a registered medical practitioner must be made mandatory for providing antibiotics to any layman to reduce the rampant overuse and misuse of antibiotics
References
Scott-Brown’s Otorhinolaryngology Head and Neck Surgery –Volume1-8th edition. 623-32.
Rana RS, Moonis G. Head and neck infection and inflammation. Radiol Clin North Am. 2011;49(1):165-82.
Meher R, Jain A, Sabharwal A, Gupta B, Singh I, Agarwal AK. Deep neck abscess: a prospective study of 54 cases. J Laryngol Otol. 2005;119(4):299-302.
Huang TT, Tseng FY, Liu TC, Hsu CJ, Chen YS. Deep neck infection in diabetic patients: comparison of clinical picture and outcomes with nondiabetic patients. Otolaryngol Head Neck Surg. 2005;132(6):943-7.
JINDAL, Simmi et al. A study of head and neck space infections and their sensitivity pattern at tertiary care hospital. International Journal of Otorhinolaryngology and Head and Neck Surgery, [S.l.]. 2018;5(1):165-71. 2018.
Parhiscar A, Har-El G. Deep neck abscess: a retrospective review of 210 cases. Ann Otol Rhinol Laryngol. 2001;110(11):1051-4.
Sethi DS, Stanley RE. Deep neck abscesses--changing trends. J Laryngol Otol. 1994;108(2):138-43.
Kamath PM, Shetty AB, Hegde MC, Sreedharan S, Bhojwani K, Padmanabhan K et al. Presentation and management of deep neck space abscess. Indian J Otolaryngol Head Neck Surg. 2003;55(4):270-5.
Hunt DE, Meyer RA. Continued evolution of the microbiology of oral infections. J Am Dent Assoc. 1983;107(1):52-4.
Kamath M, Shetty AB, Hegde MC, Sreedharan S, Bhojwani K, Padmanabhan K et al. Presentation and management of deep neck space abscess. Indian J Otolaryngol Head Neck Surg. 2003;55(4):270-5.
Lee KC, Tami TA, Echavez M, Wildes TO. Deep neck infections in patients at risk for acquired immunodeficiency syndrome. Laryngoscope. 1990;100(9):915-9.
Eftekharian A, Roozbahany NA, Vaezeafshar R, Narimani N. Deep neck infections: a retrospective review of 112 cases. Eur Arch Otorhinolaryngol. 2009;266(2):273-7.
Korivipati, Kumar N, Irvineti, Sandeep, Rao M, Mallikarjun. Deep neck space infections: our experience. Int J Otorhinolaryngol Head Neck Surg, [S.l.]. 2017;4(1):132-6.
